| NPI | 1063920759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI WHITLOW Owner Administrator 434-549-5324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: VA HCO-181619) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |